Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN ACKLIE, PT
ActiveJONATHAN ACKLIE, PT is a Physical Therapy Assistant healthcare provider located in PEORIA, Illinois. NPI 1568437747 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PEORIA, IL
Registration Details
- NPI Number
- 1568437747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.439581833929 yrs)
- Last Updated
- Apr 11, 2012
- License
-
070011632 (IL)
Practice Information
- Address
-
9901 N. KNOXVILLE AVENUESUITE DPEORIA, IL, 616151433Browse IL providers · Browse ZIP 61615
- Phone
- 3092431989
- Fax
- 3092438138
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| LISA D GUMMERMAN | PT | 1366413551 |
| ANTHONY J RAPPLEAN | PT | 1588636682 |
| J D NIMRICK | PT | 1154393254 |
| ERIC GLOW | PT | 1558336123 |
| PENNY GRIFFITH | PT | 1134194715 |
| CHERYL GODFREY | PT | 1265407845 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.